MEDICARE: FARRUKH L BHATTI MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1821364068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARRUKH L BHATTI MD PA

Provider Business Mailing Address
First Line	:	6116 OAKBEND TRL STE 112
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-3926
Country	:	US
Telephone Number	:	817-731-6121
Fax Number	:

Provider Business Practice Location Address
First Line	:	6116 OAKBEND TRL STE 112
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-3926
Country	:	US
Telephone Number	:	817-731-6121
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FARRUKH L BHATTI
Credential	:	MD
Telephone Number	:	817-731-6121

Provider Enumeration Date	:	03/30/2012
Last Update Date	:	05/03/2013

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